Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Framework Pre-Renal ... , Distributive Shock ... Hypercalcemia, Renal ... Medications Intra-Renal ... Autoimmune Post-Renal
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... renal biopsy β€’ ... eosinophiluria, renal ... protein-electrophoresis, renal ... markers β€’ Cardio-renal
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op β€’ Neurologic ... GI losses β€’ Renal ... β€’ Reduced GFR, AKI
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Hepatorenal Syndrome ... 20% HAS) β€’ No shock ... haematuria, Normal renal ... - No other cause ... - No other cause
IDEAL-ICUTrial - Visual Abstract
Is there an ideal time to start Renal Replacement Therapy (RRT) in patients
time to start Renal ... Kidney Injury (AKI ... patients with septic shock ... VisualAbstract #Nephrology ... #EBM #RRT #CriticalCare
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... inhibitors, hepatorenal syndrome ... thromboembolism, renal ... tumors INTRINSINC RENAL
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... β‰₯100): SIADH, Renal ... Present (Uosm <100): Renal ... Hypervolemia with poor renal ... Cirrhosis, Nephrotic syndrome
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) β€’ Renal ... vomiting/diarrhea), renal ... management #Overview #criticalcare ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) β€’ Renal ... vomiting/diarrhea), renal ... management #Overview #criticalcare ... #differential #causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... dehydration due to renal ... findings based on cause ... anaphylaxis, release syndrome ... table #comparison #criticalcare